U.S. patent number 5,354,691 [Application Number 07/893,783] was granted by the patent office on 1994-10-11 for polypeptides and derivatives thereof as well as their use in pharmaceutical and diagnostic compositions.
This patent grant is currently assigned to De Staat der Nederlanden Vertegenwoordigd Voor de Minister Van Welzijn,, Riksuniversiteit Te Utrecht, Yeda Research and Development Co., Ltd.. Invention is credited to Irun R. Cohen, Ruurd Van Der Zee, Willem Van Eden, Johannes D. A. Van Embden.
United States Patent |
5,354,691 |
Van Eden , et al. |
October 11, 1994 |
**Please see images for:
( Certificate of Correction ) ** |
Polypeptides and derivatives thereof as well as their use in
pharmaceutical and diagnostic compositions
Abstract
A polypeptide having amino acid sequence 172-192 of a
Mycobacterium bovis BCG 64 kD polypeptide, said sequence having the
formula ##STR1## as well as polypeptides derived therefrom, in the
amino acid sequence of which sequence 172-179 and/or sequence
189-192 is (are) entirely or partially absent, were found to be
useful as immunogens inducing resistance to auto-immune arthritis
and similar auto-immune diseases. The invention relates to these
polypeptides, to polypeptides showing sequential homology with
these polypeptides, and to derivatives and multimers thereof. Also,
microorganisms expressing the polypeptides either as such or as
part of a fusion protein or as a multimer form part of the
invention. Finally, the invention relates to pharmaceutical
compositions, diagnostic compositions and test kits comprising a
compound according to the invention.
Inventors: |
Van Eden; Willem (Bilthoven,
NL), Van Embden; Johannes D. A. (Utrecht,
NL), Van Der Zee; Ruurd (Utrecht, NL),
Cohen; Irun R. (Rehovot, IL) |
Assignee: |
De Staat der Nederlanden
Vertegenwoordigd Voor de Minister Van Welzijn, (both of,
NL)
Riksuniversiteit Te Utrecht (both of, NL)
Yeda Research and Development Co., Ltd. (IL)
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Family
ID: |
19851135 |
Appl.
No.: |
07/893,783 |
Filed: |
June 5, 1992 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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288080 |
Dec 21, 1988 |
5154923 |
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Foreign Application Priority Data
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Dec 22, 1987 [NL] |
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8703107 |
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Current U.S.
Class: |
436/506; 436/509;
436/536; 530/326; 530/327; 530/328 |
Current CPC
Class: |
A61P
29/00 (20180101); C07K 14/35 (20130101); A61K
39/00 (20130101); Y10S 424/81 (20130101) |
Current International
Class: |
C07K
14/195 (20060101); C07K 14/35 (20060101); A61K
39/00 (20060101); G01N 033/564 (); G01N 033/53 ();
C07K 007/08 (); C07K 007/10 () |
Field of
Search: |
;436/506,536,811,509
;530/326,327,328 ;424/88,89,92 ;514/13,14,15 |
References Cited
[Referenced By]
U.S. Patent Documents
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4689397 |
August 1987 |
Shinnick et al. |
4772685 |
September 1988 |
Schmidt et al. |
4777239 |
October 1988 |
Schoolnik et al. |
4857634 |
August 1989 |
Minor et al. |
5154923 |
October 1992 |
Van Eden et al. |
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Foreign Patent Documents
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0045237 |
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Feb 1982 |
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EP |
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WO/8505034 |
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Nov 1985 |
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WO |
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Other References
Van der Zee et al. (1989) Eur. J. Immunol. 19:43-47. .
Emmrich et al., "A Recombinant 64 Kioldalton Protein of
Mycobacterium Bovis Bacillus Calmette Guerin Specifically
Stimulates Human T4 Clones Reactive to Myobacterial Antigens", J.
Exp. Med., 163:1025-1029 (1986). .
Ottenhoff et al., "Evidence for an HLA-DR 4-Associated
Immune-Response Gene for Mycobacterium Tuberculosis--A Clue to the
Pathogenesis of Rheumatoid Arthritis?", The Lancet, pp. 310-313
(Aug. 9, 1986). .
Young et al., "Dissection of Mycobacterium Tuberculosis Antigens
Using Recombinant DNA", Proc. Natl. Acad. Sci. U.S.A., 82:2583-2587
(1989). .
Britton, et al., "Immunoreactivity of a 70 kD Protein Purified from
Mycobacterium bovis Bacillus Calmete-Guerin by Monoclonal Antibody
Affinity Chromatography", J. Immunochemistry, 105:525:151096y
(1986). Chem. Abstr. .
Thole et al. "Cloning of Mycobacterium bovis BCG DNA and Expression
of Antigens in Escherichia coil", Infect. Immun., 50:800-806
(1985). .
Thole et al., "Characterization, Sequence Determination, and
Immunogenicity of a 64-Kilodalton Protein of Mycobacterium bovis
BCG Expressed in Escherichia coli K-12", Infect. Immun.,
55:1466-1475 (1987). .
Shinnick et al., "The Etiologic Agents of Leprosy and Tuberculosis
Share an Immunoreactive Protein Antigen with the Vaccine Strain
Mycobacterium bovis BCG", Infect. Immun., 55:1932-1935 (1987).
.
Darsley, et al., Abstract No. 69497e, Chemical Abstracts, vol. 103
(1985). .
Shinnick, "The 65-Kilodalton Antigen of Mycobacterium
tuberculosis", J. Bacteriology, 169:1080-1088 (1987). .
Rudinger, "Characterization of the Amino Acids as Components of a
Peptide Hormone Sequence", Peptide Hormones, ed. J. A. Parsons,
National Institute for Medical Research, Mill Hill, London, pp. 1-7
(1976)..
|
Primary Examiner: Kim; Kay K.
Attorney, Agent or Firm: Brumbaugh, Graves, Donohue &
Raymond
Parent Case Text
This application is a divisional of our copending U.S. Patent
Application Ser. No. 07/288,080 filed Dec. 21, 1988 now U.S. Pat.
No. 5,154,923.
Claims
We claim:
1. A method for diagnosing an autoimmune arthritic disease in a
patient suspected of having such a condition comprising the steps
of
(a) contacting a peptide selected from the group consisting of
TFGLQLELT, TAVVALELQ, TFGLQPQDT, RHNYQLELR and RARLQLELS with a
serum sample obtained from the patient and with a control serum
sample from an individual known not to have an autoimmune arthritic
disease in separate reaction mixtures;
(b) incubating the reaction mixture of the peptide and patient
serum sample and the reaction mixture of the peptide and control
serum sample for a period of time sufficient to allow an
immunological reaction to occur, and
(c) determining whether an immunological reaction has occurred
between the peptide and patient serum and between the peptide and
control serum, wherein the occurrence of an immunologic reaction
between the peptide and patient serum, but not between the peptide
and control serum, is indicative of an autoimmune arthritic disease
in the patient.
2. A method according to claim 1 wherein the peptide is TFGLQLELT
or TAVVALELQ.
3. A method according to claim 2, wherein the peptide is
TAVVALELQ.
4. A method according to claim 1 wherein the patient serum sample
is obtained from an individual with juvenile rheumatoid
arthritis.
5. A method according to claim 4 wherein the peptide is TFGLQLELT
or TAVVALELQ.
6. A kit for immunological testing for an autoimmune arthritic
disease in patients suspected of having such a condition
comprising, in packaged combination, one or more peptides of 9 to
21 amino acids in length that react with T-cell clones A2b and A2c,
wherein each peptide includes within its amino acid sequence a
sequence selected from the group consisting of TFGLQLELT,
TAVVALELQ, TFGLQPQDT, RHNYQLELR and RARLQLELS.
Description
The present invention relates to polypeptides and derivatives
thereof suitable for alleviation, treatment and diagnosis of
auto-immune diseases, especially arthritic conditions. Further, the
invention relates to pharmaceutical and diagnostic compositions
comprising these compounds, and to test kits for performing
immunological tests.
BACKGROUND OF THE INVENTION
Millions of persons are afflicted with chronic forms of arthritis
which are thought to involve auto-immunity to constituents of the
joints or connecting tissues of the body. These conditions include
rheumatoid arthritis, ankylosing spondylitis, Reiter's syndrome and
other forms of reactive arthritis. The etiology of these diseases
is not known, but previous infection with various microbes seems to
act as an inciting circumstance in genetically susceptible
individuals. For example, patients with rheumatoid arthritis may
show unusual reactivity to mycobacterial antigens, and immunisation
with the BCG strain of mycobacteria was found to lead to arthritis
in 15 of 150 individuals. Ankylosing spondylitis has been
associated with infection by Kiebsiella or Yersinia species of
bacteria and other cases of arthritis by Salmonella, Shigel-la,
etc. There is no evidence of active infection of joints by these
microbes in the vast majority of cases and it has been postulated
that microbial infection may trigger an apparent auto-immune
response of the individual against his own antigens present in the
joints. Adjuvant arthritis (AA) is an experimental model of
arthritis inducible by immunizing susceptible strains of rats to
Mycobacteria. The disease which develops about twelve days after
immunisation has many of the features of rheumatoid arthritis and
AA has been considered to be a model of rheumatoid arthritis.
PRIOR ART
EP-A-O 181 364 discloses aqueous acetone soluble and insoluble
fractions of certain mycobacteria, such as Mycobacterium H-37, M.
kansa-sii and M. vaccae. The soluble fraction of Myc. H-37 was
found to provoke an immune response leading to resistance to
adjuvant arthritis. The insoluble fraction seemed to be responsible
for the induction of adjuvant arthritis. Mycobacterium vaccae was
shown to be substantially free of adjuvant arthritis inducing
components. Further, EP-A 0 181 364 describes certain lines and
clones of T-lymphocytes selected for their reactivity to
mycobacteria. These lines and clones can be used for producing
arthritis upon inoculation into irradiated rats. One of the lines,
designated as A2 was found to induce arthritis upon intraveneous
injection into irradiated rats. The same line, A2, is effective in
vaccinating unirradiated rats against subsequent auto-immune
arthritis induced by active immunization to mycobacteria. Cell line
A2 has been cloned. There were obtained two distinct clones,
designated as A2b and A2c, respectively. A2b causes arthritis but
does not vaccinate against it, clone A2c does not cause arthritis
but vaccinates against it. In addition to preventing arthritis,
clone A2c can be used to treat AAo Moreover, clones A2b and A2c can
be used to identify antigens associated with arthritogenicity or
with suppression of arthritogenicity. Both clones respond to whole
mycobacteria as well as to cartilage proteoglycan protein.
It is stated in European patent application 87 201691.0
(Publication Nr. 0 262 710) filed Sept. 7, 1987 that a polypeptide
having a molecular mass of about 64 kD, the preparation of which is
described in Infection and Immunity 1985, pages 800-806, is useful
as an immunogen inducing resistance against auto-immune arthritis
and similar auto-immune diseases.
In the abovementioned article the peptide in question is called
antigen A and this designation will be used here as well. According
to the article antigen A was obtained by constructing a gene bank
of Myco-bacterium bovis BCG DNA in Escherichia coli by cloning
Sau3A-cleaved mycobacterium DNA fragments into the lambda vector
EMBL3. The expression of mycobacterial antigens was analyzed by
Western Blotting with hyperimmune rabbit sera. The article states
that among 770 clones tested, several were found that produced
various mycobacterial antigens in low amounts, with concentrations
generally close to the detection limit. One particular clone was
chosen for further investigation. This clone produced a 64 kD
antigen. By placing the lambda promotor PL in front of the
structural gene of this antigen, an overproducing E. coli strain
was obtained. The article shows that antigens cross-reacting with
the 64 kD protein are present in a wide variety of mycobacteria and
also in so-called purified protein derivatives which are routinely
used for skin tests. Finally, it is stated in the article that
preliminary experiments indicate the presence of antibodies against
the 64 kD antigen in sera from tuberculosis patients.
European patent application 0 262 710 also describes the amino acid
sequence of antigen A:
__________________________________________________________________________
1 fMAKTIAYDEE ARRGLERGLN ALADAVKVTL GPKGRNVVLE KKWGAPTITN
DGVSIAKEIE 61 LEDPYEKIGA ELVKEVAKKT DDVAGDGTTT ATVLAQALVR
EGLRNVAAGA NPLGLKRGIE 121 KAVEKVTETL LKGAKEVETK EQIAATAAIS
AGDQSIGDLI AEAMDKVGNE GVITVEESNT 181 FGLQLELTEG MRFDKGYISG
YFVTDPERQE AVLEDPYILL VSSKVSTVKD LLPLLEKVIG 241 AGKPLLIIAE
DVEGEALSTL VVNKIRGTFK SVAVKAPGFG DRRKAMLQDM AILTGGQVIS 301
EEVGLTLENA DLSLLGKARK VVVTKDETTI VEGAGDTDAI AGRVAQIRQE IENSDSDYDR
361 EKLQERLAKL AGGVAVIKAG AATEVELKER KHRIEDAVRN AKAAVEEGIV
AGGGVTLLQA 421 APTLDELKLE GDEATGANIV KVALEAPLKQ IAFNSGLEPG
VVAEKVRNLP AGHGLNAQTG 481 VYEDLLAAGV ADPVKVTRSA LQNAASIAGL
FLTTEAVVAD KPEKEKASVP GGGDMGGMDF
__________________________________________________________________________
In this specification the amino acid residues are designated by
means of the following letters:
______________________________________ A alanine I isoleucine R
arginine C cystine K lysine S serine D aspartic acid L leucine T
threonine E glutamic acid M methionine V valine F phenyl alanine N
asparagine W tryptophane G glycine P proline Y tyrosine H histidine
Q glutamine ______________________________________
It is further stated in European patent application 0 262 710 that
antigen A cross-reacts serologically with antigens present in other
bacterial species. This shows that epitopes present on antigen A
are similarly present on equivalent proteins of various bacterial
species, such as Mycobacterium, Escherichia, Treponema, Shigella,
Salmonella, Yersinia, Nocardia, Campylobacter and Klebsiella. For
example, it has been shown that the amino acid sequence of antigen
A shows a very strong homology with the amino acid sequence of a
protein from Mycobacterium leprae which is disclosed in
Proc.Natl.Acad. Sci.USA 83, pages 7013-7017 (1986). For example,
the amino acid sequence 134-205 of antigen A is identically present
in the abovementioned 65 kD protein of M. leprae.
Further, European patent application 0 262 710 shows that antigen A
itself is not arthritogenic, but can protect rats against arthritis
induced by M. tuberculosis.
Finally, European patent application 0 262 710 describes the use of
the T-cell clones A2b and A2c disclosed in EP-A-0 181 364 for the
identification of antigens associated with arthritogenicity or with
suppression of arthritogenicity. Both clones respond to whole
mycobacteria, as well as to antigen A. For further localization of
the epitope which is responsible for the stimulating activity of
antigen A on the T-cell clones fragments of antigen A were
investigated. These fragments were truncated derivatives produced
by deletion mutants of the gene, and further fusion proteins with
.beta.-galactosidase, and synthetically prepared peptides. This
investigation showed that the epitope responsible for the
stimulation of the T-cell clones resides in antigen A amino acid
sequence 171-240. European patent application 0 262 710 relates,
among others, to polypeptides showing sequential homology with the
polypeptide having antigen A amino acid sequence 171-240, which
homology is such that the polypeptides are composed of 4-70 amino
acid residues, and that in the amino acid sequence at least 4 amino
acid residues are in the same relative position as the same amino
acid residues are in the polypeptide having antigen A amino acid
sequence 171-240. One of the polypeptides recognized by the T-cell
clones A2b and A2c had antigen A amino acid sequence 180-196.
DESCRIPTION OF THE INVENTION
Further research resulted in a still more precise definition of the
antigen A epitope recognized by T-cell clones A2b and A2c.
Polypeptides were prepared by means of known solid phase techniques
and these polypeptides were tested for their stimulating activity
on the T-cell clones. The results are shown in the figure. The
concentration of the peptides in the stimulation test was always 1
/ug/ml. The proliferative reactions were measured by cultivating
the T-cells (2.times.10.sup.4 per well) during 4 days in the
presence of irradiated (1500 R) syngeneic thymocytes
(2.times.10.sup.6 per well) as auxiliary cells, and then reacting
the cells with .sup.3 H-thymidine during 16 hours. The number of
counts per minute (cpm) for the thymidine uptake was measured in
triplicate and was divided by the mean result of control tests
without antigen carried out in triplicate. The mean values of the
ratios so found are given as stimulation index (SI.+-.standard
deviation) SI=cpm test divided by cpm control without antigen. The
culture medium was Dulbecco's Modified Eagles Medium (Gibco)
supplemented with 1% rat serum, 5.times.10.sup.-5 M
2-mercapto-ethanol, 2 mM glutamine, 100 units/ml penicilline and
100 /ug/ml Streptomycine. In the same way heat-killed M.
tuberculosis bacteria (H37Ra, Difco) were tested (Mr).
As the figure shows, the polypeptides having sequences 153-171,
185-196, 190-200 and 197-218 do not react, and the peptide having
sequence 183-196 shows a slight reaction. The polypeptides having
sequences 174-192,180-196 and 180-188 are reactive.
It may be derived from these data that the epitope recognized by
T-cell clones A2b and A2c resides in antigen A sequence 172-192,
with sequence 180-188 as the most essential part.
It is interesting to notice that the amino acid sequence of a
proteoglycan protein of cartilage (published in J.Biol.Chem. 261,
pages 3519-3535 (1986)) which proteoglycan protein is also
recognized by T-cell clones A2b and A2c, shows homology with
antigen A sequence 180-188. A still stronger homology is shown by
the sequence of an antigen from Epstein-Barr virus (Nature 310,
pages 207-211 (1984)) which virus has been suggested to be related
to the initiation of rheumatoid arthritis (J.Clin. Invest. 65,
pages 1238-1242 (1980)). T-cell clone A2b responds to the
polypeptide having this homologous sequence. Further, the sequence
of HLA-DQ3 (J.Immunol. 139, pages 3506-3511 (1987)), which
leucocyte antigen is mainly present in arthritis patients (The
Lancet ii, pages 1118-1120 (1987)) also shows homology with antigen
A sequence 180-188. Finally, the amino acid sequence of human lamin
A and C (Nature 319, pages 463-468 (1986) and PNAS 83, pages
6450-6454 (1986)) shows homology with antigen A sequence 180-188.
Lamin A and lamin C are parts of the nuclear envelope of human
cells, and are related to intermediate filament proteins. The
T-cell clones react positively to this homologous structure. These
homologies may be illustrated as follows:
______________________________________ ##STR2## Antigen A and M.
leprae 65 kD ##STR3## cartilage proteoglycan protein ##STR4##
Epstein-Barr-virus antigen ##STR5## HLA-DQ3 ##STR6## Lamin A and C
______________________________________
The invention relates to the polypeptide having antigen A amino
acid sequence 172-192 having the formula ##STR7## as well as to
polypeptides derived therefrom, in the amino acid sequence of which
sequence 172-179 and/or sequence 189-192 is (are) entirely or
partially absent.
When sequence 172-179 and/or sequence 189-192 is (are) partially
absent the parts of sequences 172-179 and 189-192 which are present
in the polypeptide have the same amino acid sequence as in the
above-mentioned formula of the polypeptide having antigen A
sequence 172-192.
Also, the invention relates to polypeptides showing sequential
homology with the above defined polypeptides. In this
specification, polypeptides showing sequential homology are
considered to be polypeptides composed of 4-21 amino acid residues,
at least a of which are in the same relative position as in the
polypeptide having antigen A amino acid sequence 172-192 or in the
polypeptides derived therefrom and having a shorter sequence, as
defined above.
More particularly, the invention relates to the polypeptide having
antigen A sequence 180-188 and to the polypeptides showing
sequential homology therewith, for example to the abovementioned
polypeptides having sequences TAVVVALELQ, TFGLQPQDT, RHNYQLELR and
RARLQLELS.
Although the T-cell clones A2b and A2c respond to all of the above
defined polypeptides, the antigenicity and the immunogenicity of
the polypeptides may be enhanced by coupling thereto at least one
radical capable of improving the presentation of the antigenic
determinants of the polypeptides. Such radicals are known in the
art, and comprise, for example, radicals of peptides, tetanus
toxoid, diphtheria toxoid, .beta.-galactosidase and microbial outer
membrane proteins. Multimers of the polypeptides in question are
also contemplated- These modified polypeptides also form part of
the invention.
All of the polypeptides according to the invention, viz. the
polypeptide having antigen A amino acid sequence 172-192, the
polypeptides derived therefrom and having an amino acid sequence
tin which sequence 172-179 and/or sequence 189-192 is (are)
entirely or partially absent, the polypeptides showing sequential
homology with said polypeptides, as well as the above defined
modified peptides including the multimers, may be used as
immunogens in pharmaceutical compositions, especially vaccines for
the alleviation and the treatment of auto-immune diseases,
especially arthritic conditions, and also as antigens in diagnostic
compositions for the diagnosis of these diseases. These
pharmaceutical and diagnostic compositions which may be prepared in
a way known in the art, also form part of the invention. The
activity of the above-defined modified peptides according to the
invention is illustrated by the following experiments.
Protection against induction of adjuvant arthritis (AA) with
Myobacterium tuberculosis (Mt) was tested in rats. The immunogen
was antigen A amino acid sequence 177-188 coupled to bovine serum
albumin (BSA) by means of the well-known glutaraldehyde-technique.
Groups of five rats were given intraperitoneally BSA alone, 100/ug
of the 77-188-BSA conjugate and 500/ug of the conjugate,
respectively, in incomplete Freund's adjuvant. The BSA was given in
a dose equivalent to the BSA content of 500/ug of 177-188-BSA.
Seven days later, AA was induced in the rats by intracutaneous
immunization with 1 mg of Mt suspended in 0.1 ml of mineral oil.
Arthritis scores were determined by daily inspection of the joints
with confirmation by histological examination at the end of the
experiment. The results are shown in the following Table 1.
TABLE 1 ______________________________________ Pre-immunization at
day-7 with 177-188 conjugated to BSA protects against AA Mean
arthritic score (n = 5) after preimmunization with 177-188 BSA Day
BSA alone 100 .mu.g 500 .mu.g
______________________________________ 11 0 0 0 15 4.0 1.5 0 19 7.0
2.3 1.0 25 2.3 2.8 1.1 32 1.7 1.8 0.8
______________________________________
The effect of immunization with the same 177-188 BSA conjugate was
also tested at day 7 after Mt immunization. Also in this situation
the arthritis that developed was less severe as compared to the
arthritis seen in the BSA immunized control rats. The mean
arthritis scores at the time of maximal arthritis (day 20) was 1 in
the group of rats immunized with 100/ug and 1.8 in the group
immunized with 500/ug, whereas the BSA immunized controls had a
score of 6. (Each group existed of 6 animals).
The following experiment illustrates the immunogenic activity of
the unmodified polypeptides of the invention.
In this experiment, arthritis was induced at day 0 in groups of 6
rats by intracutaneous administration of 1 mg of Mt suspended in
0.1 ml of mineral oil. At day 7 one group of rats received PBS
alone, a second group received 10/ug of the peptide having antigen
A amino acid sequence 180-188 solubilized in PBS, and a third group
100/ug of the peptide in PBS, all via the intravenous route.
Table 2 shows that the peptide significantly suppresses the
development of arthritic symptoms.
TABLE 2 ______________________________________ Immunization i.v. at
day +7 with 180-188 in PBS protects against AA. Mean arthritis
score (n = 5) after immunization with 180-188 in PBS i.v. Day PBS
alone 10 .mu.g 100 .mu.g ______________________________________ 14
5.0 2.0 1.2 16 6.4 3.8 2.8 20 10.7 7.4 4.4 22 12.8 3.8 2.0 24 9.4
4.2 2.4 27 6.4 3.2 1.8 ______________________________________
The following experiments illustrate the use of the peptides
according to the invention as antigens in immunological tests.
Sera from 36 juvenile rheumatoid arthritis (JRA) patients were
tested in a standard solid phase RIA at a dilution of 1:40 and
1:80. For comparison, sera from 15 non-JRA arthritis patients, and
control sear from 36 children with other diseases were tested. The
JRA patients included 10 with poly-RA, 14 with pauci-RA and 12 with
systemic RA.
Antigens were
1. AP, the acetone precipitable fraction of Mycobacterium
tuberculosis according to EP-A 0 181 364;
2. Antigen A;
3. Peptide having antigen A amino acid sequence 180-188;
4. Peptide having amino acid sequence TAVVALELQ occuring in
cartilage proteoglycan protein.
The tests were carried out as follows:
Antigens were coated upon microtitre plates by adding to each well
2.5/ug of antigen in 50/ul of PBS. After incubation for two hours
at room temperature the wells were washed with PBS, and blocked
with 1% BSA/PBS. After 30 minutes incubation at room temperature
the wells were washed 3 times with PBS and sera were added in
dilutions 1:40 and 1:80 in 1% BSA/PBS. After incubation for two
hours at room temperature, and washing 3 times with PBS, 100,000
counts per minute of radioactive iodine labeled goat-anti-human
immunoglobulin were added to each well. After incubation overnight
at 40.degree. C. and washing 4 times with PBS the radioactivity was
measured. Reaction was deemed positive when it was at least twice
the standard deviation above mean of controls.
The results are given in the following Table 3.
TABLE 3 ______________________________________ Sera giving positive
reaction with antigens (%) Antigen JRA Non-JRA Controls
______________________________________ AP 72 13* 0 Antigen A 72 13*
0 Antigen A 180- 88 0 0 188 peptide TAVVALELQ 80 13* 0
______________________________________ *The two positives among the
15 NONJRA patients (13%) had arthritis of th knees and erythrema
nodosum.
Another way to improve the immunogenicity of the polypeptides
according to the invention is to construct, by known genetical
engineering methods, micro-organisms expressing a polypeptide
according to the invention either as such or as part of a fusion
protein or as a multimer thereof. These micro-organisms can be used
for the preparation of a live vaccine which will provoke not only
the production of antibodies and the development of cellular
immunity against the microorganism in question, but will also be
useful for the alleviation and treatment of auto-immune
diseases.
These genetically engineered micro-organisms and pharmaceutical
compositions containing these, also form part of the invention.
Examples of suitable genetically engineered micro-organisms are
Vaccinia, Mycobacterium bovis BCG and Salmonella strains.
Finally, the invention provides kits for performing immunological
tests comprising a container with at least one of the antigenic
compounds discussed above, or a container with the diagnostic
composition mentioned above.
The antigenic compounds and diagnostic compositions, as well as the
diagnostic kits according to the invention may be used for various
types of assays, such as:
a.1. a lymphocyte proliferation test, or determination of any
entity indicative of such proliferation;
a.2. indicative of the measure of symphocyte activation are also
changes which can be assayed by standard means so as to establish
the presence and degree of lymphocyte activation: amongst these
there may be mentioned:
production of lymphokines (such as interleukin-2 (IL-2;
b. gamma interferon;
c. migration inhibition factor (MIF);
d. expression of membrane markers, such as IL-2 receptor; peanut
agglutination receptor;
e. expression of enzymes such as heparanase.
b. be determination of antibody titer in absolute terms or as a
ratio of the values obtained by different compositions, said values
or ratios being indicative of the presence or absence of the
disease. Quantitative values obtained are of use in establishing
the severity of the disease.
The diagnostic compositions according to the invention may be
prepared by combining one or more antigenic compounds according to
the invention as above defined with suitable adjuvants and
auxiliary components. Standardized kits with reference and
calibration means are of value in the rapid and convenient
determination of arthritic disease and its stage and/or
severity.
__________________________________________________________________________
FIGURE Peptide ##STR8## A2bA2cSI (.+-.1 SD)T-cell
__________________________________________________________________________
reaction 153-171 ------+ <1 =1 174-192 +-----------------+ 16
(.+-.2) 11 (.+-.2) 180-196 +---------------+ 33 (.+-.5) 120 (.+-.8)
180-188 +-------+ 47 (.+-.4) 58 (.+-.3) 183-196 +----- -------+ 9,2
(.+-.3) 2,9 (.+-.8) 185-196 +----------+ <1 <1 190-200
+---------+ <1 <1 197-218 +-----+ <1 <1 Mt 180 (.+-.21)
304 (.+-.18)
__________________________________________________________________________
* * * * *